Financial Data and Key Metrics Changes - The company ended Q1 2025 with $220.7 million in cash and investments, with no debt on the balance sheet, and expects a cash runway extending into Q4 2026 [26] - Q1 2025 revenue was $10.5 million, primarily from non-cash royalty revenue, with expectations to maintain similar revenue levels for the remainder of 2025, totaling approximately $40 million for the full year [26][27] - R&D expenses for Q1 2025 were $30.5 million, with full-year expectations ranging between $110 million and $120 million [27] - The net loss for Q1 was $50.9 million, equating to a net loss per share of $0.24 [30] Business Line Data and Key Metrics Changes - The company is focusing on the development of its immunology pipeline, particularly the advancement of Respag (Rezpeg) in three Phase II studies [5][6] - The Phase 2b study for atopic dermatitis (Resolve AD) aims to demonstrate efficacy and safety, with top-line results expected in June 2025 [6][12] - The company is also advancing NKTR-165, a TNFR2 antagonist antibody, through IND enabling studies, with plans for an IND filing in 2025 [11][24] Market Data and Key Metrics Changes - There are approximately 30 million adult patients with atopic dermatitis in the US, with a significant unmet need for new treatment mechanisms [7] - About 8% of patients with moderate to severe atopic dermatitis are currently treated with biologics, primarily Dupixent, but many do not benefit or become refractory [8] Company Strategy and Development Direction - The company aims to establish Rezpeg as a first-in-class T regulatory cell therapy for various immune disorders, differentiating it from existing biologics by targeting underlying disease pathology [8][10] - The strategy includes exploring partnerships for Phase III studies due to the financial position of the company, while retaining significant ownership of the drug [56] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the potential of Rezpeg to address high unmet needs in chronic conditions like atopic dermatitis and alopecia areata [5][10] - The company plans to maintain momentum in its development programs and is preparing for an end-of-phase two meeting with the FDA based on upcoming data [85] Other Important Information - The company recorded a non-cash loss from equity method investment of $4.5 million in Q1 2025, with expectations of a total loss of approximately $10 million for the full year [29] - The company is entering a quiet period in June 2025 until the top-line results for the Respeg atopic dermatitis study are reported [31] Q&A Session Summary Question: What does the company hope to see in RESOLVE AD to move forward into Phase III? - The company aims to replicate Phase I data and achieve efficacy comparable to Dupixent, ideally identifying one dose level for Phase III [34][35] Question: What are the expectations for the placebo response in RESOLVE AD? - The company anticipates a lower placebo response rate than the 47% observed in Phase 1b, having taken measures to control this in the current study [36] Question: Can the company disclose how many patients have progressed to the maintenance portion of the trial? - The company cannot disclose that information at this time but will provide details in the upcoming top-line results [40] Question: What is the dropout rate for the Phase 1b atopic dermatitis trial? - The dropout rate was approximately 30% for placebo and in the low to mid-20s for Respeg arms, with plans to report dropout rates in the upcoming results [50][51] Question: Will the company pursue an end-of-phase two meeting with the FDA after the 36-week AD data? - The company plans to initiate discussions with the FDA based on the top-line data from the upcoming study, without waiting for the completion of the maintenance phase [85]
Nektar(NKTR) - 2025 Q1 - Earnings Call Transcript